Updated
PERM sponsor, #291 of 70,985 by filings
Cosmic Healthcare, LLC
Cosmic Healthcare, LLC sponsors green cards: it filed 46 PERM cases in the last 12 months, the newest on May 21, 2026. Cosmic Healthcare, LLC has 27 PERM cases waiting with DOL.
- Main job
- Medical and Clinical Laboratory Technologists · 99% of its filings
- Main worksite
- Aldie, VA · 100% of its filings
- Industry
- Employment Placement Agencies and Executive Search Services · NAICS 56131
Waiting on a case with Cosmic Healthcare, LLC?
- When it'll likely be decided
- An email when DOL moves it
Filings
127
#291 of 70,985
Certified
126
0 denied
Approval
100.0%
field 96.8%
Median wage
$56,139
offered, per year
Median days
455
11 faster than the field
Right now
DOL's live record of its cases, read every day, and what it has done to them as a group.
Waiting on a decision
27
of 187 tracked cases. The other 160 have been decided.
The oldest one still waiting was filed April 7, 2026, 6 months ago.
Where those 27 are standing
- ANALYST REVIEW
- 27100%
A Department of Labor analyst has the application. This is the main queue, and it is where most pending PERM cases sit.
None of this changes one case's wait: DOL works one national line. Where DOL is working now is the figure that does.
Follow Cosmic Healthcare, LLC
An email when DOL moves its cases as a group: five or more on or off hold in a day, or a batch decided well above its usual pace.
What DOL has done to its cases as a group
- September 2 DOL certified 19 of its cases
Its newest filings
Filed since DOL's last quarterly file, so the wage and law firm aren't published yet.
- G-100-26141-939208 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939127 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939126 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939125 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939116 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939115 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939114 Senior Medical Technologist filed 2026-05-21 · ANALYST REVIEW
- G-100-26141-939104 Medical Technologist filed 2026-05-21 · ANALYST REVIEW
The 8 newest. Every filing by this employer is in the case search, live and published together.
Source: DOL's own case-status service, flag.dol.gov, where any of these numbers can be looked up. A filing shows there soon after it's made, months before DOL's quarterly files.
How long it takes
How long their cases are taking
- 288 days
Cosmic Healthcare, LLC
median of 19 decisions in the last 90 days
- 302 days
Every employer
median of 30,289 decisions in the same 90 days
About the same as everyone: DOL works one national line in filing order. Filing to decision, over decisions we watched DOL make; withdrawals left out.
Filed today: a new case joins the same line as anyone's, behind 80,222 cases, and would be decided around March 18, 2027 (between February 26, 2027 and April 27, 2027). Estimate another date
Every program
Across DOL's programs
The wage request, the PERM and the H-1B labor condition application, one line each.
- PERM (green card)
- 127 published
- 27 pending
- $56,139 median, n=127
- Prevailing wage requests
- 72 published
- 0 pending
- $70,304 median, n=71
- H-1B labor condition applications
- 385 published
- 0 pending
- $62,400 median, n=385
Its median H-1B wage is $62,400 across 385 LCAs, 11% higher than its median PERM wage of $56,139 across 127 cases. Different forms, different years and different jobs sit behind the two medians, so this is a gap in what was filed, not a finding.
Every case across these programs is in the search.
How these are counted
Medians are of the published rows with a usable wage, annualised from whatever unit the filing quoted, and withheld under 10 wages. DOL publishes no employer number, so filings are matched by the employer's legal name, read under the 2 spellings DOL's files use for it; another employer with the same legal name would be counted here too. The PERM is the green-card step; the wage request comes months before it, and the LCA is the separate form for an H-1B. DOL publishes each in its own file, and its live record shows what is still open.
Its newest wage requests and LCAs
Filed by Cosmic Healthcare, LLC, newest first. Decided ones carry the wage from DOL's quarterly files.
Wage requests
- P-100-26112-820730 Registered Nurse 2026-04-22 · DETERMINATION ISSUED
- P-100-26112-820561 Registered Nurse 2026-04-22 · DETERMINATION ISSUED
- P-100-26112-820556 Registered Nurse 2026-04-22 · DETERMINATION ISSUED
- P-100-26112-820555 Registered Nurse 2026-04-22 · WITHDRAWN
- P-100-26112-820554 Registered Nurse 2026-04-22 · DETERMINATION ISSUED
H-1B LCAs
- I-200-26287-300092 Medical Technologist 2026-10-14 · CERTIFIED
- I-200-26244-207371 Medical Technologist 2026-09-01 · CERTIFIED
- I-200-26238-195145 Medical Technologist 2026-08-26 · CERTIFIED
- I-200-26238-195107 Medical Technologist 2026-08-26 · CERTIFIED
- I-200-26237-191541 Medical Technologist 2026-08-25 · CERTIFIED
Source: DOL's own case-status service, flag.dol.gov, where any of these numbers can be looked up. A filing shows there soon after it's made, months before DOL's quarterly files.
What its H-1B LCAs were for
From DOL's quarterly LCA files: 385 LCAs filed by Cosmic Healthcare, LLC, 344 of them certified with the worker breakdown on Form ETA-9035.
New hires and transfers
485 positions for new employment, 5 moving here from another employer.
- New employment 7a 485 · 70%
- Change of employer 7e 5 · 1%
- Continuing 7b 162 · 23%
- Change in previous employment 7c 12 · 2%
- Concurrent employment 7d 0 · 0%
- Amended petition 7f 29 · 4%
Shares of the 693 worker positions requested. These are positions on certified LCAs, not people hired: DOL certifies an LCA before any petition, and many are never used.
What each box on the form means
- New employment (7a). Starting with a new employer.
- Change of employer (7e). Moving here from another employer, keeping the visa classification already held.
- Continuing (7b). Staying with the same employer.
- Change in previous employment (7c). Same employer, no material change to the job duties.
- Concurrent employment (7d). Adding this employer while keeping another.
- Amended petition (7f). Same employer, with a material change to the job duties.
Form ETA-9035, Section B, Item 7, in DOL's words from its LCA record layout. One LCA can tick several boxes.
Wage level it chose
- Level I 344 · 100%
- Level II 0 · 0%
- Level III 0 · 0%
- Level IV 0 · 0%
Shares of the 344 certified LCAs that named an OES level. The form asks for the level only when the employer set the wage from the OES survey itself; 0 of 344 used another source, such as a DOL wage determination or another survey. Level I is entry, Level IV fully competent.
What it declared on Section H
- H-1B-dependent
- Yes
- Found a willful violator
- No
As answered on its newest LCA, filed June 17, 2026. Declared H-1B-dependent on 327 of 385 LCAs, and a willful violator on 0 of 385. Both are the employer's own answers.
What the two answers mean
H-1B-dependent (20 CFR 655.736(a)): 25 or fewer full-time-equivalent employees in the US and more than 7 H-1B workers; 26 to 50 and more than 12; or 51 or more, with H-1B workers equal to at least 15% of them.
Willful violator (655.736(f)): DOL or the Justice Department found a willful failure or a misrepresentation of a material fact in the five years before the LCA was filed.
Either one adds two promises to the employer's LCAs: not to displace US workers, and to recruit US workers before hiring H-1B workers (655.738, 655.739). They don't apply to an LCA used only for exempt workers, paid at least $60,000 a year or holding a related master's degree (655.737). The rule on eCFR
Against other sponsors
Where it sits among 70,985 sponsors. The full ranking sorts every column.
How it compares with other sponsors
Each figure ranked only among sponsors with enough cases for it to mean something. No single score: they measure different things.
PERM approval rate
100.0% of 126 decided PERM cases
Higher than 67% of the 1,343 sponsors with 30 or more decided cases.
PERM filings in the last 12 months
46 filed in the last 12 months
Higher than 98% of the 13,997 sponsors that filed in the last 12 months.
H-1B LCAs certified in the last 24 months
163 certified in the last 24 months
Higher than 98% of the 27,902 sponsors with a certified LCA in the last 24 months.
Share of H-1B positions that were transfers
1.5% of 262 certified H-1B positions, LCAs decided Jun 2024 to Jun 2026
Higher than 9% of the 5,558 sponsors with 20 or more certified positions.
Share of H-1B LCAs at wage level III or IV
0.0% of 173 certified LCAs with a level, LCAs decided Jun 2024 to Jun 2026
Higher than 4% of the 5,177 sponsors with 20 or more leveled LCAs.
USCIS H-1B approval rate, last 3 fiscal years
100.0% of 207 USCIS decisions
Higher than 80% of the 5,810 sponsors with 20 or more USCIS decisions.
Also on its record
- Its newest LCA that answered declared it H-1B dependent (decided 2026-06-25).
Approval rate
100.0%ahead of 34%, level with 891 more
Median days to decision
455 daysahead of 62%
Each bar counts sponsors at that value. More
Against the sponsors ranked nearest
The 120 sponsors ranked nearest filed between 104 and 170 filings.
- Their median wait
- 471 days
- This one
- 455 days
This one sits 16 days ahead of them.
Why no approval rate
A band is a slice of the volume ranking rather than a population picked for having enough decided cases, so a band rate would be solid at the top of the list and noise at the bottom, under one heading.
Where this sits in the ranking
Ranked 291 of 70,985 by volume: 290 filed at least as many filings, and 70,694 filed no more.
- Just above
- Runnells Operating, LLC. 128 filings
- Just below
- Boston Scientific Corporation 127 filings
Sponsors filing at the same rate
Ranked either side of this one: they file about as many PERM cases.
- #290 Runnells Operating, LLC. 128 filings · none denied
- #292 Boston Scientific Corporation 127 filings · 2 denied
- #289 NetApp, Inc. 129 filings · none denied
- #293 1st Senior Cares, LLC 127 filings · none denied
- #288 Medline Industries, LP 129 filings · 1 denied
- #294 Exlabesa Extrusion Tifton, Inc 127 filings · none denied
Sponsors hiring for the same work
The employers filing the most PERM cases for Medical and Clinical Laboratory Technologists, the occupation this sponsor files for most.
- #3 Management Health Systems, LLC 2,849 filings · none denied
- #27 Conexus MedStaff LLC 1,091 filings · 3 denied
- #60 Health Carousel, LLC 552 filings · none denied
- #228 Comtrix Solutions, Inc. 172 filings · none denied
- #158 ARUP Laboratories 236 filings · none denied
- #659 THE STEPPING STONES GROUP LLC 58 filings · 20 denied
What they file, and where
A rank says how much. It says nothing about what the work is, which is the part a job offer from this sponsor turns on.
What the jobs are
Medical and Clinical Laboratory Technologists
SOC 29-2011.00 · 126 filings, 99% of everything they file · 100.0% approved
- Occupational Therapists 29-1122.001
How this is counted
These are the 2 occupations with the most filings, 127 of 127 cases between them. The occupation on a PERM is the SOC code on the form, which is the job as DOL classifies it rather than the job title on the offer. DOL still accepts two SOC vintages, so one job can appear twice under two codes; the code is printed for exactly that reason.
The industry they declared
Employment Placement Agencies and Executive Search Services
NAICS 56131 · 127 filings
How this is counted
The NAICS code the employer entered on the form, with the Census Bureau's title for it. DOL publishes the code alone, and an employer can file under more than one.
Where the jobs are
- Virginia 127
How this is counted
The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. This state covers 127 of 127 filings.
Where the work is
- Aldie, VA 127
How this is counted
The worksite city on the application, which is where the job is. This city covers 127 of 127 filings.
Who files for them
- MusilloUnkenholt, LLC 127 filings · 100.0% approved
How this is counted
The law firm named on the application. 127 of 127 filings, 100% of the total.
Newspapers it advertised in
- 127 cases
The Washington Post
How this is counted
The newspaper or professional journal named for each case's two print ads, one count per paper per case, however the filer spelled it.
Additional steps it used
- 127 cases
The employer's website
- 127 cases
Job search websites
- 127 cases
Local or ethnic newspapers
How this is counted
The steps a professional job needs beyond the job order and the ads, by the number of cases that name each.
How long before filing it began
- 0.0%
Under 30 days
- 0.0%
30 to 59 days
- 23%
60 to 89 days
- 13%
90 to 119 days
- 30%
120 to 149 days
- 34%
150 to 180 days
- 0.0%
Over 180 days
How this is counted
Days from the first recruitment step to the filing. 20 C.F.R. § 656.17(e) puts the job order and ads 30 to 180 days before filing.
History
Year by year since 2025
127 PERM decisions from FY2025 to FY2026, busiest in FY2026 with 74.
- certified
- denied
- withdrawn
Fiscal years, October to September. A year filed under another name is missing, not zero. FY2026 is partial: DOL's newest file runs through June 2026.
Every year as a table
| Fiscal year | Certified | Denied | Withdrawn |
|---|---|---|---|
| FY2025 | 53 | 0 | 0 |
| FY2026 | 73 | 0 | 1 |
Notes on these numbers
What this rank counts, and what it doesn't
DOL prints the name that went on the form, so one sponsor can appear under several. The entry below start the same way and were not merged, because the difference between them is more than a mistyped letter. Some may be the same sponsor; some are a different one. Rank #291 counts this page's cases only.
1 filing sit on those pages rather than this one. The methodology has the rule that decides which spellings merge.
What these numbers don't say
5 notes
- The wage is the job, not the payer
- Their filings are led by Medical and Clinical Laboratory Technologists, 126 of 127. The median offered wage moves almost entirely with what roles they file. A software developer and a poultry cutter are different numbers wherever they are filed, so this figure is not plotted against the field and no percentile is given for it: that comparison would rank occupation mix and call it pay. Wages by occupation are on the wages page.
- Volume doesn’t change the wait
- DOL works a single national queue, oldest first, whoever filed the case, so these 127 filings bought no priority: a company with four thousand waits exactly as long as one with three.
- The name is a legal entity
- DOL prints whatever went on the form, and here that name ranks 291. A group that files through several subsidiaries appears as several rows, and one that files everything through a parent appears once, so a rank is a rank among printed names rather than among companies.
- A median over 126 decided cases
- The queue is national and first in, first out, so this figure follows when the cases were filed as much as it follows the sponsor.
- Two sources, and they do not add up
- The filing counts come from DOL's disclosure files, where every row already carries a decision date, so nothing pending is in them. The queue figures come from a live per-case tracker with its own coverage and its own as-of date. Subtracting one from the other gives a number that means nothing. The worksite on most of these is VA. Where the queue stands overall is on the processing times page.
The window these figures cover: DOL's PERM disclosure files for fiscal years 2024 to 2026, through the third quarter of 2026, 373,939 decided cases. Nothing pending is counted here. How each figure is built
Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly
Employers and firms: Derived from DOL's disclosure files · data through Jun 30, 2026 · rebuilt with each quarterly load
Per-case statuses: flag.dol.gov/recaptcha/caseStatus (DOL, direct) · data through Oct 21, 2026 · daily
What each source includes
Case data: Decided PERM cases only. A case still waiting isn't in here, so counts and durations describe finished cases.
Employers and firms: Employers, law firms and occupations ranked from decided cases only.
Per-case statuses: Every PERM case DOL indexes, pending included. No wage, law firm or worksite: DOL reveals those only when a case is published.